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Shift work is associated with increased risk of COVID-19: Findings from the UK Biobank cohort.
Fatima, Yaqoot; Bucks, Romola S; Mamun, Abdullah A; Skinner, Isabelle; Rosenzweig, Ivana; Leschziner, Guy; Skinner, Timothy C.
  • Fatima Y; Institute for Social Science Research, University of Queensland, Brisbane, Australia.
  • Bucks RS; Centre for Rural and Remote Health, James Cook University, Mount Isa, Australia.
  • Mamun AA; School of Psychological Science, University of Western Australia, Perth, Australia.
  • Skinner I; Institute for Social Science Research, University of Queensland, Brisbane, Australia.
  • Rosenzweig I; Centre for Rural and Remote Health, James Cook University, Mount Isa, Australia.
  • Leschziner G; Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK.
  • Skinner TC; Sleep Disorders Centre, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, London, UK.
J Sleep Res ; 30(5): e13326, 2021 10.
Article in English | MEDLINE | ID: covidwho-1122181
ABSTRACT
Despite the strong evidence on circadian rhythm disruption in shift workers and consequent increased vulnerability for infection, longitudinal association between shift work and COVID-19 infection is unexplored. In this study, data from UK Biobank participants who were tested for COVID-19 infection (16 March to 7 September 2020) were used to explore the link between shift work and COVID-19 infection. Using the baseline occupational information, participants were categorised as non-shift workers, day shift workers, mixed shift workers and night shift workers. Multivariable regression models were used to assess the association between shift work and COVID-19 infection. Among the 18,221 participants (9.4% positive cases), 11.2% were health workers, and 16.4% were involved in shift-work-based jobs. Ethnic minorities (18%) and people in night-shift-based jobs (18.1%) had a significantly higher prevalence of COVID-19 infection than others. Adjusted logistics regression model suggest that, compared with their counterparts, people employed in a night-shift-based job were 1.85-fold (95% CI 1.42-2.41) more likely to have COVID-19 infection. Sensitivity analysis focusing on people working in a non-healthcare setting suggests that people in shift-work-based jobs had 1.81-fold (95% CI 1.04%-3.18%) higher odds of COVID-19 infection than their counterparts. Shift workers, particularly night shift workers, irrespective of their occupational group, seem to be at high risk of COVID-19 infection. If similar results are obtained from other studies, then it would mandate to revisit the criteria for defining high-risk groups for COVID-19 and implementing appropriate interventions to protect people in shift-based jobs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Shift Work Schedule / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Sleep Res Journal subject: Psychophysiology Year: 2021 Document Type: Article Affiliation country: Jsr.13326

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Shift Work Schedule / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: J Sleep Res Journal subject: Psychophysiology Year: 2021 Document Type: Article Affiliation country: Jsr.13326